| NPI | 1710220504 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: PA MD465470) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: NY 328491) |
| Enumeration Date | 2013-04-01 |
| Last Update Date | 2024-03-21 |