| NPI | 1649283102 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine Infectious Disease (Licence: NJ 25MA08108000) |
| Additional Taxonomies | 207RI0200X Internal Medicine Infectious Disease (Licence: NY 231679) |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2024-01-08 |