| NPI | 1649426123 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: TX R9122) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A104091) |
| 207R00000X Internal Medicine (Licence: TX R9122) | |
| Enumeration Date | 2008-08-15 |
| Last Update Date | 2018-12-13 |