| NPI | 1598863813 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: TX N1877) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: PR 14527) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2019-08-06 |