| NPI | 1902882608 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NY 170641) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: CA 035626) |
| Enumeration Date | 2005-12-15 |
| Last Update Date | 2013-10-16 |