| NPI | 1063575199 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: UT 14293240-1205) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: TX L1206) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: WA MD00043412) | |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2026-08-04 |