| NPI | 1306837661 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0208X Pediatrics Pediatric Infectious Diseases (Licence: MA 40989) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 40989) |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2022-11-23 |