| NPI | 1518912625 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: TN 73106) |
| Additional Taxonomies | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: AL 24902) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2025-01-08 |