| NPI | 1336167766 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: OH 35.121886) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.121886) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2015-02-03 |