| NPI | 1194995936 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine Infectious Disease (Licence: LA 025654) |
| Additional Taxonomies | 2080P0208X Pediatrics Pediatric Infectious Diseases (Licence: LA 025654) |
| Enumeration Date | 2008-03-07 |
| Last Update Date | 2012-01-09 |