| NPI | 1497753594 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: HI MD-21667) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: NJ 25MA05126800) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: PA MD062530E) | |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2023-03-20 |