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 |