| 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 |