| NPI | 1407011067 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine Infectious Disease (Licence: TX P1679) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX P1679) |
| 207R00000X Internal Medicine (Licence: CA A121041) | |
| 207RI0200X Internal Medicine Infectious Disease (Licence: FL TRN19083) | |
| Enumeration Date | 2008-07-23 |
| Last Update Date | 2023-11-09 |