| 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 |