| NPI | 1023490935 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL 28061) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA10326800) |
| Enumeration Date | 2015-06-26 |
| Last Update Date | 2025-02-27 |