| NPI | 1891027512 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NM MD2022-1151) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: NY 261872) |
| Enumeration Date | 2010-02-05 |
| Last Update Date | 2024-02-21 |