| NPI | 1306169065 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 56172) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: TX M2632) |
| Enumeration Date | 2010-03-10 |
| Last Update Date | 2020-08-14 |