| NPI | 1851407712 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NY 252768) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: MA 226021) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: NY 002826) | |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2021-02-22 |