| NPI | 1861439812 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: RI MD06212) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: MA 44919) |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2007-11-14 |