| NPI | 1003857616 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: CT 33895) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: NY 158805) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2025-07-15 |