| NPI | 1154308062 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: CA A149151) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A479151) |
| Enumeration Date | 2005-12-30 |
| Last Update Date | 2016-06-29 |