| NPI | 1386633451 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: TX K7325) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX K7325) |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2007-07-08 |