| NPI | 1194169425 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NY 293962) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: CT 73917) |
| Enumeration Date | 2013-04-17 |
| Last Update Date | 2023-05-03 |