| NPI | 1265712236 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NY 287263) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 263106) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: MA 263106) | |
| Enumeration Date | 2011-08-23 |
| Last Update Date | 2025-08-27 |