| NPI | 1801873187 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: IN 01042901A) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: KY 64878531) |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2024-10-30 |