| NPI | 1386881993 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: TX T0878) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: IN 01078094A) |
| Enumeration Date | 2009-01-20 |
| Last Update Date | 2024-10-07 |