NPI | 1962898692 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: CA A162126) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A162126) |
208000000X Pediatrics (Licence: CA A162126) | |
Enumeration Date | 2015-04-09 |
Last Update Date | 2022-06-07 |