| NPI | 1376046193 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: TX U3228) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL TRN26472) |
| 207R00000X Internal Medicine (Licence: FL ME141654) | |
| 207R00000X Internal Medicine (Licence: NY 311751) | |
| Enumeration Date | 2018-03-18 |
| Last Update Date | 2023-08-01 |