| NPI | 1871890616 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: TX Q2143) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.098400) |
| 207R00000X Internal Medicine (Licence: TX Q2143) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: IN 01076185A) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: LA 207404) | |
| Enumeration Date | 2011-02-14 |
| Last Update Date | 2020-03-12 |