| NPI | 1336160357 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: DC MD044724) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 11065R) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: LA 11065R) | |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2020-02-27 |