| NPI | 1336221134 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: TX V0163) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: HI MD13782) |
| 208000000X Pediatrics (Licence: TX V0163) | |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2024-07-02 |