| NPI | 1821043019 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NY 185026) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 185026) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2016-06-13 |