| NPI | 1982924858 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301096577) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: DC MD042288) |
| Enumeration Date | 2010-06-02 |
| Last Update Date | 2017-04-21 |