| NPI | 1609954916 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: TX D9656) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: MT 10979) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2024-09-19 |