| NPI | 1184042384 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NY 289729) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: CT 73183) |
| Enumeration Date | 2014-04-03 |
| Last Update Date | 2023-01-30 |