| NPI | 1235592643 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: TX V9909) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: DC MD048232) |
| 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: TX V9909) | |
| Enumeration Date | 2016-04-01 |
| Last Update Date | 2025-07-14 |