| NPI | 1164043154 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: UT 13289383-1204) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: UT 13289383-1204) |
| Enumeration Date | 2020-04-30 |
| Last Update Date | 2026-09-03 |