| NPI | 1801901012 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NJ 25MA10268300) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: GA 042324) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2019-11-30 |