| NPI | 1174513170 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: UT 13998419-1205) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: NE 26471) |
| Enumeration Date | 2005-10-21 |
| Last Update Date | 2024-08-29 |