| NPI | 1770650517 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: IN 01074468A) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: CA A86362) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2021-03-20 |