| NPI | 1780027862 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NY 282688-01) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 282668-1) |
| Enumeration Date | 2013-04-09 |
| Last Update Date | 2024-04-12 |