| NPI | 1962484337 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: TX N8995) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 50163) |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2020-11-06 |