| NPI | 1548426620 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 271429) |
| Additional Taxonomies | 207RI0200X Internal Medicine Infectious Disease (Licence: NY 271429) |
| Enumeration Date | 2008-07-29 |
| Last Update Date | 2022-10-24 |