| NPI | 1760668487 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: RI DO00678) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 243666) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: MA 243666) | |
| Enumeration Date | 2008-01-11 |
| Last Update Date | 2023-02-17 |