| NPI | 1003105255 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: HI MD-22161) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO DR.0054823) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: CO CDRH.0054823) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: CO DR.00654823) | |
| Enumeration Date | 2011-03-28 |
| Last Update Date | 2022-07-06 |