| NPI | 1851521652 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MD D0076884) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: NY 281000-1) |
| Enumeration Date | 2009-07-15 |
| Last Update Date | 2022-08-17 |