| NPI | 1881800332 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MD D0064866) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC MD035593) |
| 207R00000X Internal Medicine (Licence: MD D0064866) | |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2023-07-13 |