| NPI | 1447833447 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX V4336) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: NE 10307) |
| Enumeration Date | 2021-04-28 |
| Last Update Date | 2025-07-14 |