| NPI | 1124657390 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NY 346852) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 346852) |
| 207R00000X Internal Medicine (Licence: NY 346852) | |
| Enumeration Date | 2020-04-08 |
| Last Update Date | 2026-09-25 |