| NPI | 1952329328 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: AZ 35402) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: NY 244048) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2018-03-17 |