| NPI | 1518352244 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 304191-01) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: NY 304191) |
| Enumeration Date | 2015-03-31 |
| Last Update Date | 2023-08-25 |