| NPI | 1669589735 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NV 25125) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: TX M3002) |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2024-04-05 |