| NPI | 1679721310 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: TX R4861) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: NY 269080) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: LA MD.206317) | |
| Enumeration Date | 2008-09-07 |
| Last Update Date | 2023-02-22 |