| NPI | 1306286786 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: MN 66071) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL TRN19373) |
| Enumeration Date | 2013-06-28 |
| Last Update Date | 2019-07-31 |