| NPI | 1073932851 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: UT 9529362-1205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: UT 9529362-1205) |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2020-01-23 |