| NPI | 1194346478 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MN 76163) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10072203) |
| 207R00000X Internal Medicine (Licence: PA OS024135) | |
| Enumeration Date | 2020-04-28 |
| Last Update Date | 2024-12-09 |