| NPI | 1114085040 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NJ 25MA09223900) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: NY 216282) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2013-02-05 |