| NPI | 1073952024 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: FL ME152081) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A124092) |
| 208000000X Pediatrics (Licence: FL 18310) | |
| 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: SD 9882) | |
| Enumeration Date | 2013-06-21 |
| Last Update Date | 2021-08-15 |