| NPI | 1063464519 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NY 211804) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: KY 53630) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2020-03-30 |