| NPI | 1629275060 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NY 301387) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60200238) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: WA MD60200238) | |
| 208000000X Pediatrics (Licence: WA MD60200238) | |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2021-02-22 |