| NPI | 1598725640 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: OR MD205805) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: SC 29529) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: IN 01039122) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: MI 4301049222) | |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2021-09-14 |