| NPI | 1912916685 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NY 240968) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 240968-1) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2021-12-14 |