NPI | 1235584509 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: CT 82050) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 313469) |
207R00000X Internal Medicine (Licence: CT 82050) | |
207RI0200X Internal Medicine, Infectious Disease (Licence: NY 313469) | |
Enumeration Date | 2016-04-25 |
Last Update Date | 2025-07-09 |