| NPI | 1669546404 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: IN 01061321A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01061321A) |
| 207R00000X Internal Medicine (Licence: FL ME103057) | |
| 207R00000X Internal Medicine (Licence: TX M5531) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: FL ME103057) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: TX M5531) | |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2021-06-14 |