| NPI | 1073767323 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D72957) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: MD D72957) |
| 207R00000X Internal Medicine (Licence: DC MD040391) | |
| 207R00000X Internal Medicine (Licence: TX Q1813) | |
| Enumeration Date | 2008-11-13 |
| Last Update Date | 2015-08-14 |