| NPI | 1942422886 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: GA 99764) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: IA 40979) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: NE 27313) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: TX R9800) | |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MO 2010005180) | |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: TX R9800) | |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2024-05-06 |