| NPI | 1255598850 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NJ 25MA09835400) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: NY 243163) |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2022-09-06 |