| NPI | 1710289442 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NC 20033) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: TX L5636) |
| Enumeration Date | 2010-12-01 |
| Last Update Date | 2010-12-01 |