| NPI | 1972692473 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: CT 53610) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 246575) |
| 207R00000X Internal Medicine (Licence: CT 53610) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: NY 246575) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: PA OS011985) | |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2020-01-03 |