| NPI | 1679912729 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: TX S5753) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: NY 293652) |
| Enumeration Date | 2013-06-21 |
| Last Update Date | 2022-08-15 |