| NPI | 1588710164 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: TX L7662) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: CO 42826) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2023-08-21 |