| NPI | 1619356961 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MI 5151015314) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: NJ NA) |
| Enumeration Date | 2015-05-20 |
| Last Update Date | 2021-06-24 |