| NPI | 1699512863 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: TX 48814) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: MA 3015692) |
| Enumeration Date | 2024-07-13 |
| Last Update Date | 2025-09-23 |