| NPI | 1710931936 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: PA MD431922) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 233329) |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2022-02-15 |