| NPI | 1649597733 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NJ 25MA09742200) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: NY 272683) |
| Enumeration Date | 2010-04-28 |
| Last Update Date | 2021-01-18 |