| NPI | 1699707141 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: PA OS021241) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 41776) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: CT 041776) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: NY 313334) | |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2025-07-31 |