| NPI | 1841319654 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NC 2011-00222) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX N6817) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2016-10-04 |