| NPI | 1609361898 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: TX V0193) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 1013882) |
| 207R00000X Internal Medicine (Licence: MA 276598) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: MA 1013882) | |
| Enumeration Date | 2018-06-29 |
| Last Update Date | 2024-08-05 |