| NPI | 1043941891 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: MN 79815) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: DC MTL500001555) |
| Enumeration Date | 2022-06-22 |
| Last Update Date | 2025-05-19 |