| NPI | 1861708596 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL ME116723) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 244914) |
| Enumeration Date | 2010-08-18 |
| Last Update Date | 2013-08-12 |