| NPI | 1316904162 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: WI 68202) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: MI 4301104211) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: NY 147931) | |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2021-09-09 |