| NPI | 1205928629 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: NH 13697) |
| Additional Taxonomies | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: TN MD08654) |
| Enumeration Date | 2006-09-30 |
| Last Update Date | 2012-02-21 |