| NPI | 1831427137 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX U0379) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 251084) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: NY 251084) | |
| Enumeration Date | 2009-11-24 |
| Last Update Date | 2024-08-07 |