| NPI | 1932353877 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL ME163484) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: AL MD30747) |
| Enumeration Date | 2008-11-05 |
| Last Update Date | 2023-11-01 |