| NPI | 1750743720 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: PA MD470539) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: NJ 25MA11492300) |
| 208000000X Pediatrics (Licence: PA MD470539) | |
| 208000000X Pediatrics (Licence: NJ 25MA11492300) | |
| Enumeration Date | 2016-03-28 |
| Last Update Date | 2025-03-26 |