| NPI | 1710180252 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MO 2022039594) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: TX M6659) |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2022-10-21 |