| NPI | 1114205085 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 301607) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: NY 301607) |
| Enumeration Date | 2011-07-26 |
| Last Update Date | 2020-01-07 |