| NPI | 1306819701 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: PA MD440824) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA07036600) |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2021-03-24 |