| NPI | 1326072083 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: IN 01074840A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 225730) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: RI MD13016) | |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2020-12-29 |