| NPI | 1013127562 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 250815) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 250815-1) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: NY 250815-1) | |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2014-09-02 |