| NPI | 1588663546 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NY 191235) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 191235) |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2024-12-30 |