| NPI | 1639149040 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: AR E2649) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: TX F4219) |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2015-05-20 |