| NPI | 1285868877 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: KY 56699) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01070691A) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: TN MD56672) | |
| 208000000X Pediatrics (Licence: IN 01070691A) | |
| Enumeration Date | 2009-05-11 |
| Last Update Date | 2022-06-20 |