| NPI | 1861682270 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NY 240275) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 201608) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: LA MD.201608) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: LA 201608) | |
| Enumeration Date | 2007-08-01 |
| Last Update Date | 2017-12-05 |