| NPI | 1063823680 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: CA A172983) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT206713) |
| 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: IL 036146627) | |
| Enumeration Date | 2014-05-16 |
| Last Update Date | 2021-07-27 |