| NPI | 1003980467 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: DE C10012379) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA06319200) |
| 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: NJ 25MA06319200) | |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2024-04-11 |