| NPI | 1295851954 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: DC MD041718) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: NY 237163) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2023-03-07 |