| NPI | 1033642061 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine Infectious Disease (Licence: NY 310948) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 310948) |
| Enumeration Date | 2017-04-06 |
| Last Update Date | 2022-08-31 |