| NPI | 1548215171 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: VA 0101267456) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: NY 261497) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2022-05-19 |