| NPI | 1366670051 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: GA 81576) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: NY 266169) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: GA 081576) | |
| Enumeration Date | 2009-07-01 |
| Last Update Date | 2022-08-19 |