| NPI | 1083777858 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NJ 25MA11163900) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301093277) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: NC 2000-01179) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: MI 4301093277) | |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2024-04-30 |