| NPI | 1164834131 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: AR E-13675) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AR E-13675) |
| 208000000X Pediatrics (Licence: AR T2020-453) | |
| Enumeration Date | 2014-05-27 |
| Last Update Date | 2023-02-07 |