| NPI | 1922183615 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: UT 161112-1205) |
| Additional Taxonomies | 207ZM0300X Pathology, Medical Microbiology (Licence: UT 161112-1205) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2013-12-20 |