| NPI | 1356748859 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01090731A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MT 52398) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: IN 01090731A) | |
| Enumeration Date | 2014-11-26 |
| Last Update Date | 2023-08-23 |