| NPI | 1336274455 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX W3961) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL ME53660) |
| 207R00000X Internal Medicine (Licence: FL ME53660) | |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2026-03-25 |