| NPI | 1265690911 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: TX S6051) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX S6051) |
| 207R00000X Internal Medicine (Licence: MN 45132) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: MN 45132) | |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2023-08-03 |