| NPI | 1609165018 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: VT 042.0013750) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: NY 288548) |
| Enumeration Date | 2011-04-06 |
| Last Update Date | 2022-07-21 |