| NPI | 1336340454 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: KY 41086) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KY 41086) |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2014-09-04 |