| NPI | 1255674446 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: CO 62167) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CO DR.0062167) |
| Enumeration Date | 2013-04-05 |
| Last Update Date | 2025-04-25 |