| NPI | 1003134479 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX P1156) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: NY 259020) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: TX P1156) | |
| Enumeration Date | 2010-05-11 |
| Last Update Date | 2022-08-24 |