| NPI | 1205271954 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: IA MD-46199) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 128497) |
| 208000000X Pediatrics (Licence: IA MD-46199) | |
| Enumeration Date | 2013-05-08 |
| Last Update Date | 2019-06-29 |