| NPI | 1205895786 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: WI 31299) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WI 31299) |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2021-01-11 |