| NPI | 1801238696 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: TX 46954) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX 46954) |
| 207R00000X Internal Medicine (Licence: IL 125063958) | |
| Enumeration Date | 2013-07-23 |
| Last Update Date | 2020-03-06 |