| NPI | 1568656577 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NY 181108) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: DC MD035462) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: TX M8906) | |
| Enumeration Date | 2007-09-03 |
| Last Update Date | 2009-09-21 |