| NPI | 1023472743 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A168338) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: CA A168338) |
| 208000000X Pediatrics (Licence: CA A168338) | |
| Enumeration Date | 2016-04-08 |
| Last Update Date | 2023-11-02 |