| NPI | 1952888166 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: KY 57666) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: NY 311237) |
| Enumeration Date | 2018-07-20 |
| Last Update Date | 2026-08-03 |