| NPI | 1598922742 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MA 256395) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD439324) |
| 207R00000X Internal Medicine (Licence: DC MD038426) | |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2017-07-07 |