| NPI | 1649206020 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME110890) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 047459) |
| 207RI0200X Internal Medicine Infectious Disease (Licence: FL ME110890) | |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2022-08-08 |