| NPI | 1730381385 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A119631) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: CA A119631) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: WA MD00047645) | |
| 208000000X Pediatrics (Licence: CA A119631) | |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2018-03-17 |