| NPI | 1386768968 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: TX V8429) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: AL 26003) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2025-07-09 |