| NPI | 1164510996 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: TX F8517) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX F8517) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2016-01-06 |