| NPI | 1851550255 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NC 2010-00900) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: DC MD037281) |
| 207R00000X Internal Medicine (Licence: VA 0101245201) | |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2014-08-13 |