| NPI | 1215255179 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX U3935) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: TX U3935) |
| Enumeration Date | 2010-05-17 |
| Last Update Date | 2025-01-13 |