| NPI | 1861401507 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: IN 01075885A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MS 20764) |
| 207R00000X Internal Medicine (Licence: MI ST083240) | |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: IN 01075885A) | |
| 207R00000X Internal Medicine (Licence: IN 01075885A) | |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2025-09-04 |