NPI | 1235487703 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 287252) |
Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: NY 287252) |
Enumeration Date | 2012-08-15 |
Last Update Date | 2021-08-27 |