| NPI | 1154680320 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: TX BP20054682) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10043734) |
| Enumeration Date | 2012-05-09 |
| Last Update Date | 2015-09-17 |