| NPI | 1629041074 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: TX U1976) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: RI MD13901) |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2023-06-23 |