| NPI | 1053639823 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: WI 62506) |
| Additional Taxonomies | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: WI 62506-20) |
| Enumeration Date | 2010-05-04 |
| Last Update Date | 2021-01-27 |