| NPI | 1487861480 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine Infectious Disease (Licence: NY 272355) |
| Additional Taxonomies | 207RI0200X Internal Medicine Infectious Disease (Licence: PA MD431349) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2014-01-21 |