| NPI | 1154525962 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: IN 01075335A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0070225) |
| 207R00000X Internal Medicine (Licence: IN 01075335A) | |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2021-01-04 |