| NPI | 1861847485 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: TX T0449) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10056137) |
| Enumeration Date | 2016-05-02 |
| Last Update Date | 2024-01-19 |