| NPI | 1356736763 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: DC MD045987) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC MD045987) |
| Enumeration Date | 2015-04-02 |
| Last Update Date | 2024-03-26 |