| NPI | 1013951656 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MA 227352) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 227352) |
| 208000000X Pediatrics (Licence: MA 227352) | |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2020-03-18 |