| NPI | 1194042382 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0208X Pediatrics Pediatric Infectious Diseases (Licence: IA MD-45498) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IA MD-45498) |
| 2080P0208X Pediatrics Pediatric Infectious Diseases (Licence: WI 60792-20) | |
| Enumeration Date | 2010-04-27 |
| Last Update Date | 2018-08-14 |