| NPI | 1245497742 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NY 248647) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 248647) |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2011-06-06 |