| NPI | 1942258793 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL ME65355) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL ME0065355) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2020-06-25 |