| NPI | 1881805265 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MN 39619) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: NY 206201) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: MI 4301061767) | |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2023-04-18 |