| NPI | 1699753889 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MD D57444) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D57444) |
| 208000000X Pediatrics (Licence: MD D57444) | |
| Enumeration Date | 2006-01-06 |
| Last Update Date | 2020-03-09 |