| NPI | 1821256785 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL ME162781) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: VA 010260596) |
| Enumeration Date | 2008-05-28 |
| Last Update Date | 2023-07-19 |