| NPI | 1114047750 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: WA MD00014834) |
| Additional Taxonomies | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: WA MD00014834) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2009-06-01 |