| NPI | 1124258025 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: CA A135708) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN 49104) |
| Enumeration Date | 2009-07-26 |
| Last Update Date | 2015-08-07 |