| NPI | 1083867592 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: AK 7171) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A99178) |
| 207R00000X Internal Medicine (Licence: AK 7171) | |
| 208000000X Pediatrics (Licence: CA A99178) | |
| 208000000X Pediatrics (Licence: AK 7171) | |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2024-02-28 |