| NPI | 1265574446 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: VA 0101252957) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: NY 235768) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2024-09-11 |