| NPI | 1912054867 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: AZ 41109) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 41109) |
| 208000000X Pediatrics (Licence: AZ 41109) | |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2023-12-11 |