| NPI | 1184750911 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA L-226876) |
| Additional Taxonomies | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: MA 234994) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2018-04-11 |