| NPI | 1669781050 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: IN 01074730A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT197688) |
| Enumeration Date | 2010-10-01 |
| Last Update Date | 2015-09-02 |