| NPI | 1043487317 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: TX U5140) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 228456) |
| 207R00000X Internal Medicine (Licence: CA A106957) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: CA A106957) | |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2023-10-23 |