| NPI | 1629264924 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 246111) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: NY 246111) |
| Enumeration Date | 2007-09-20 |
| Last Update Date | 2011-11-10 |