| NPI | 1851375489 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL ME143583) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: ME MD25396) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: MS 15692) | |
| Enumeration Date | 2005-12-06 |
| Last Update Date | 2022-01-27 |