| NPI | 1033128665 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX L1742) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: TX L1742) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: TN 71077) | |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2026-06-29 |