| NPI | 1033576384 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: PA MD042740L) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: MA 52844) |
| Enumeration Date | 2016-01-18 |
| Last Update Date | 2016-01-22 |