| NPI | 1124255393 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: IN 01081667A) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL ME131043) |
| 207R00000X Internal Medicine (Licence: IN 01081667A) | |
| Enumeration Date | 2009-06-16 |
| Last Update Date | 2022-07-06 |