| NPI | 1033311287 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NJ 25MA11294800) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME107334) |
| 207R00000X Internal Medicine (Licence: MI 4301106860) | |
| 207R00000X Internal Medicine (Licence: NJ 25MA11294800) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: MI 4301106860) | |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2024-05-02 |