| NPI | 1609866714 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL ME158757) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: TX S8832) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: GA 052271) | |
| Enumeration Date | 2005-10-28 |
| Last Update Date | 2023-11-10 |