| NPI | 1295066637 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NY 277229) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: CT 048515) |
| Enumeration Date | 2010-01-25 |
| Last Update Date | 2016-03-02 |