| NPI | 1811160468 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: OR MD166842) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: TX MD9267) |
| Enumeration Date | 2008-04-03 |
| Last Update Date | 2014-06-23 |