| NPI | 1659474203 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: TX K1670) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: MS 14915) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: PA MD057958L) | |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2023-03-07 |