| NPI | 1083814685 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: WA 60144638) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OR MD195988) |
| 208000000X Pediatrics (Licence: AZ 81942) | |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2022-08-08 |