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 |