| NPI | 1982684940 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MN 19639) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: TX d4363) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: HI 8559) | |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2020-08-21 |