| NPI | 1245624808 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: PA MT217826) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: PA MD467538) |
| 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: PA MD467538) | |
| Enumeration Date | 2015-03-22 |
| Last Update Date | 2020-06-25 |