| NPI | 1821075615 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: DC MD038331) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: SC 7584) |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2022-11-08 |