| NPI | 1952556201 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MD D0075692) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0075692) |
| 207R00000X Internal Medicine (Licence: HI 18922) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: HI 18922) | |
| Enumeration Date | 2008-11-28 |
| Last Update Date | 2022-07-21 |