| NPI | 1205887163 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: AR E-5819) |
| Additional Taxonomies | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: NE 19225) |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2009-03-11 |