| NPI | 1154486454 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NY 256525) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: PA 433794) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2011-01-24 |