| NPI | 1134376072 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: TN MD44131) |
| Additional Taxonomies | 174400000X Specialist (Licence: TN 44131) |
| Enumeration Date | 2008-08-21 |
| Last Update Date | 2022-03-16 |