| NPI | 1508226820 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: TX BP10066478) |
| Additional Taxonomies | 208D00000X General Practice (Licence: NE 1508226820) |
| Enumeration Date | 2016-02-29 |
| Last Update Date | 2024-03-18 |