| NPI | 1194122689 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 297198) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 297198) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: NY 297198) | |
| Enumeration Date | 2014-11-26 |
| Last Update Date | 2019-05-14 |