| NPI | 1366418444 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: PA MD020649E) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: NJ MA043384) |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2016-09-20 |