| NPI | 1972686327 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL ME 107847) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME 107847) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: FL ME 107847) | |
| Enumeration Date | 2006-10-21 |
| Last Update Date | 2011-10-17 |