| NPI | 1053324301 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: DC MD034428) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: VA 0101229134) |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2020-01-30 |