| NPI | 1023166832 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: GA 71980) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: PA MD445869) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: NY 230027) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: FL ME99953) | |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2024-03-20 |