| NPI | 1023167582 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: TX N7064) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AZ 41990) |
| 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: TX N7064) | |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2022-07-21 |