| NPI | 1477750115 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: PA OS015986) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: NY 273317-01) |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2021-08-18 |