| NPI | 1528229002 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL ME112712) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: NY 003091) |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2023-01-05 |