| NPI | 1700240074 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: NY 291565) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 291565) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: NY 291565) | |
| Enumeration Date | 2016-04-12 |
| Last Update Date | 2025-02-24 |