| NPI | 1790777613 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: AL 21563) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL 21563) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: IN 01079533A) | |
| Enumeration Date | 2005-08-17 |
| Last Update Date | 2023-11-27 |