| NPI | 1386713329 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX N5346) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: TX N5346) |
| 207R00000X Internal Medicine (Licence: LA 201076) | |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2018-01-09 |