| NPI | 1578966289 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NY 293440) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 293440) |
| 207R00000X Internal Medicine (Licence: FL TRN19218) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: FL TRN19218) | |
| Enumeration Date | 2014-10-08 |
| Last Update Date | 2018-12-05 |