| NPI | 1952341083 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL ME46949) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL ME46949) |
| 207R00000X Internal Medicine (Licence: FL ME46949) | |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2021-03-30 |