| NPI | 1700053592 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NJ 25MA08420800) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: NY 240501) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: PA MD433997) | |
| Enumeration Date | 2008-05-12 |
| Last Update Date | 2011-05-19 |