| NPI | 1346528031 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: PA MD458188) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: NY 289131-01) |
| Enumeration Date | 2011-07-28 |
| Last Update Date | 2021-08-18 |