| NPI | 1871531194 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: RI MD10171) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: MA 153821) |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2016-09-02 |