| NPI | 1790764637 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: TN 27166) |
| Additional Taxonomies | 174400000X Specialist (Licence: TN MD027166) |
| Enumeration Date | 2006-01-10 |
| Last Update Date | 2021-07-19 |