| NPI | 1942609318 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL ME127590) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2014-01817) |
| Enumeration Date | 2014-08-21 |
| Last Update Date | 2018-06-19 |