| NPI | 1023378312 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NY 278619) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT201707) |
| 207R00000X Internal Medicine (Licence: NY 278619) | |
| Enumeration Date | 2012-05-21 |
| Last Update Date | 2022-05-06 |