| NPI | 1598783128 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: TX F6406) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: ID M-13554) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2025-11-21 |