| NPI | 1023273380 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine Infectious Disease (Licence: NY 247141) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 247141-1) |
| Enumeration Date | 2008-07-25 |
| Last Update Date | 2011-12-22 |