| NPI | 1588900468 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: HI MD-18732) |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2012-12-20 |
| Last Update Date | 2020-02-13 |