| NPI | 1467437574 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NV 21265) |
| Additional Taxonomies | 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine (Licence: TX J9932) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: TX J9932) | |
| Enumeration Date | 2005-12-12 |
| Last Update Date | 2023-07-25 |