| NPI | 1598742447 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL ME0024562) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME24562) |
| Enumeration Date | 2005-12-30 |
| Last Update Date | 2011-02-08 |