| NPI | 1720240237 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: IA 42281)  | 
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: TX M5332)  | 
| 207RI0200X Internal Medicine, Infectious Disease (Licence: IN 01069646A)  | |
| Enumeration Date | 2008-06-26 | 
| Last Update Date | 2025-08-06 |