| NPI | 1821409038 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D84033) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD D84033) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: MD D84033) | |
| Enumeration Date | 2014-05-12 |
| Last Update Date | 2019-09-27 |