| NPI | 1548554033 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: TX Q0705) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: TX BP10039340) |
| Enumeration Date | 2011-06-02 |
| Last Update Date | 2024-10-03 |