| NPI | 1023027927 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: PA MD463888) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 172506) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: NY 172506) | |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2020-08-31 |