| NPI | 1841618378 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: AR E-10482) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL ME144177) |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2021-09-29 |