| NPI | 1659356939 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL ME0065387) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: IA 25682) |
| Enumeration Date | 2005-12-09 |
| Last Update Date | 2007-07-12 |