NPI | 1083786602 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: CA A55418) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA A55418) |
Enumeration Date | 2006-11-15 |
Last Update Date | 2013-10-25 |