| NPI | 1194987867 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: TN 51842) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D77006) |
| 207R00000X Internal Medicine (Licence: TN MD51842) | |
| 207R00000X Internal Medicine (Licence: VA 0101255239) | |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2022-03-25 |