| NPI | 1578850012 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: IN 01076595A) |
| Additional Taxonomies | 174400000X Specialist (Licence: IN 11016129A) |
| Enumeration Date | 2011-07-05 |
| Last Update Date | 2021-02-15 |