| NPI | 1003081456 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: WA MD60983280) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD60983280) |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: WA MD60983280) | |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2021-09-15 |