| NPI | 1326394776 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: WI 69869) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 5315056172) |
| 208000000X Pediatrics (Licence: MI 4301101300) | |
| Enumeration Date | 2012-08-02 |
| Last Update Date | 2018-10-03 |