| NPI | 1457922460 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: TX V8330) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: TX BP10074069) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: MN 77218) | |
| Enumeration Date | 2021-07-09 |
| Last Update Date | 2025-09-17 |