| NPI | 1457415366 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: DC MD034378) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: MN 30,004) |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2026-01-30 |