| NPI | 1063642627 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: PA MT212530) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT212530) |
| Enumeration Date | 2009-07-16 |
| Last Update Date | 2022-07-21 |