| NPI | 1073781142 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: TX T2172) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: VA 0101242453) |
| Enumeration Date | 2008-02-12 |
| Last Update Date | 2024-08-21 |