| NPI | 1720263817 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: TX P3067) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD P21916) |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2017-03-29 |