| NPI | 1043595010 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NY 271916) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 271916) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 271916) | |
| Enumeration Date | 2011-10-20 |
| Last Update Date | 2019-03-11 |