| NPI | 1598862484 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NY 207770) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 207770) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 207770) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2019-08-29 |