| NPI | 1285673285 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: DC MD038483) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: MA 152926) |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2019-01-17 |