| NPI | 1346440658 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: TX Q5391) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT191592) |
| 207R00000X Internal Medicine (Licence: TX Q5391) | |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2022-06-13 |