| NPI | 1659513216 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: KY 45829) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: IN 01088111A) |
| Enumeration Date | 2009-03-29 |
| Last Update Date | 2026-02-27 |