| NPI | 1700996295 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine Infectious Disease (Licence: FL ME165236) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 287973) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2023-11-15 |