| NPI | 1275709586 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: IA 41130) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AL 30133) |
| 208000000X Pediatrics (Licence: IA 41130) | |
| 208000000X Pediatrics (Licence: AZ 81943) | |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2018-06-01 |