| NPI | 1740682624 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NJ 25MA10654200) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 287316) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: NY 287316) | |
| Enumeration Date | 2014-09-22 |
| Last Update Date | 2023-05-30 |