| NPI | 1295981702 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: TN 40433) |
| Additional Taxonomies | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: TN 40433) |
| 208000000X Pediatrics (Licence: MS 23116) | |
| Enumeration Date | 2008-08-15 |
| Last Update Date | 2020-08-14 |