| NPI | 1467767830 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: DC MD19847) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: MD D0043026) |
| Enumeration Date | 2010-08-10 |
| Last Update Date | 2010-08-10 |