| NPI | 1821321134 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME104769) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME104769) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: FL ME104769) | |
| Enumeration Date | 2009-09-18 |
| Last Update Date | 2013-07-25 |