| NPI | 1154807311 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: TX R9649) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 142560) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: CA A142560) | |
| Enumeration Date | 2018-07-11 |
| Last Update Date | 2019-02-07 |