| NPI | 1811941180 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: TX N9888) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: RI MD11364) |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2021-09-29 |