| NPI | 1922058130 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NY 156171) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: PA os005485l) |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2021-04-22 |