| NPI | 1497195515 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NY 286492) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA11825900) |
| Enumeration Date | 2013-07-03 |
| Last Update Date | 2023-05-29 |