| NPI | 1215943907 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: PA MD418269) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: NJ MA74575) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2019-06-05 |