| NPI | 1053668806 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: UT 9316286-1205) |
| Additional Taxonomies | 207RI0200X Internal Medicine Infectious Disease (Licence: UT 9316286-1205) |
| Enumeration Date | 2012-08-11 |
| Last Update Date | 2015-10-02 |