| NPI | 1538329198 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: TX Q0900) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX Q0900) |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2018-01-29 |