| NPI | 1518251701 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine Infectious Disease (Licence: CA A137023) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA09105200) |
| 207R00000X Internal Medicine (Licence: CA A137023) | |
| Enumeration Date | 2011-06-05 |
| Last Update Date | 2016-05-05 |