| NPI | 1285609784 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: GA 076675) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: TX L3801) |
| Enumeration Date | 2006-02-20 |
| Last Update Date | 2016-09-28 |