| NPI | 1538327481 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: GA 96336) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: SC 34292) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: KY TP652) | |
| 208000000X Pediatrics (Licence: AL 29910) | |
| 208000000X Pediatrics (Licence: SC 34292) | |
| 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: KY TP652) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-05-28 |
| Last Update Date | 2023-08-08 |