| NPI | 1417277112 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: VA 0101282025) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: IN 01073945A) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: NC 2018-00367) | |
| 207R00000X Internal Medicine (Licence: SC 51924) | |
| 207R00000X Internal Medicine (Licence: NC 2018-00367) | |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2024-10-03 |