| NPI | 1205851730 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MI 4301088222) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 4301088222) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2020-10-22 |