| NPI | 1225266349 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NY 298919) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA MD.205437) | 
| 207RI0200X Internal Medicine, Infectious Disease (Licence: MS 22108) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: LA MD205437) | |
| Enumeration Date | 2009-06-26 | 
| Last Update Date | 2022-05-27 |