| NPI | 1699935650 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine Infectious Disease (Licence: NY 251131) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA08464300) |
| 207R00000X Internal Medicine (Licence: KY 44385) | |
| 207RI0200X Internal Medicine Infectious Disease (Licence: IN 01065411A) | |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2021-07-21 |