| NPI | 1164425294 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: UT 69387081205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 31837) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: AZ 31837) | |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2023-06-13 |