| NPI | 1457466724 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: TX S4064) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: ND 11067) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: MN 102616) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: MN 49064) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: MI 4301079651) | |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2024-02-07 |