| NPI | 1912277419 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NY 276542-1) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: NJ 25MA09464600) |
| Enumeration Date | 2011-12-31 |
| Last Update Date | 2023-03-30 |