| 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: IN 01075335A) | 
| 207R00000X Internal Medicine (Licence: MD D0070225) | |
| Enumeration Date | 2007-06-14 | 
| Last Update Date | 2025-03-14 |