| NPI | 1780033548 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: OK 43891) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101270689) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: VA 0101270689) | |
| 208000000X Pediatrics (Licence: VA 0101270689) | |
| 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: VA 0101270689) | |
| 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: OK 43891) | |
| Enumeration Date | 2016-06-12 |
| Last Update Date | 2024-07-11 |