| NPI | 1659684579 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL ME143746) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: TX Q7628) |
| Enumeration Date | 2010-07-20 |
| Last Update Date | 2020-08-17 |