| NPI | 1982700837 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: TX M2066) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: NY 200944) |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2022-04-26 |