| NPI | 1275507048 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: KS 0425754) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KS 0425754) |
| Enumeration Date | 2006-02-16 |
| Last Update Date | 2022-02-01 |