| NPI | 1679538110 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL ME127542) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: RI MD10814) |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2016-08-16 |