| NPI | 1861595720 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 194625) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: NY 194625) |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2022-09-13 |