| NPI | 1861888984 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: CA A146123) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: ME MD25241) |
| Enumeration Date | 2015-04-15 |
| Last Update Date | 2021-10-18 |