| NPI | 1134239619 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: KY 35413) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 35413) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: IN 01055144A) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2021-04-29 |