| NPI | 1205273661 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: ME MD27515) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 278235) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: NY 278235) | |
| Enumeration Date | 2013-05-25 |
| Last Update Date | 2023-12-13 |