| NPI | 1932595170 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NJ 25MB10303300) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: PA TCP000255) |
| Enumeration Date | 2015-04-14 |
| Last Update Date | 2021-09-16 |