| NPI | 1063073427 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: TX BP10079551) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2019023483) |
| Enumeration Date | 2019-06-26 |
| Last Update Date | 2024-05-28 |