| NPI | 1083661631 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: WA MD00043059) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD00043059) |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2008-05-14 |