| NPI | 1316189772 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX N0885) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: TX N0885) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IL 036-137287) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: IL 036-137287) | |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2015-09-09 |