| NPI | 1720240237 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: IA 42281) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: TX M5332) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: IN 01069646A) | |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2015-06-24 |