| NPI | 1467679845 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NY 235946) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 049886) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: CT 049886) | |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2026-02-10 |