| NPI | 1013307834 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: CO DR.0073177) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: NJ 25MA11875000) |
| Enumeration Date | 2015-02-01 |
| Last Update Date | 2024-06-17 |