| NPI | 1922483718 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: ME MD24122) |
| Additional Taxonomies | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: ME MD24122) |
| Enumeration Date | 2015-07-22 |
| Last Update Date | 2022-01-05 |