| NPI | 1932477171 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: TN 54235) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125059248) |
| 207R00000X Internal Medicine (Licence: TN 54235) | |
| Enumeration Date | 2011-12-02 |
| Last Update Date | 2022-03-23 |