| NPI | 1336302314 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: CT 80071) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT189526) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: PA MT189526) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: NJ 25MA08942400) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: PA MD437598) | |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2025-02-13 |