| NPI | 1225177736 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: NH 23063) |
| Additional Taxonomies | 174400000X Specialist (Licence: MA 37426) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2022-09-13 |