| NPI | 1811994106 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL ME64099) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: MA 80619) |
| Enumeration Date | 2005-07-01 |
| Last Update Date | 2020-07-29 |