NPI | 1346261799 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: AZ 64418) |
Additional Taxonomies | 208000000X Pediatrics (Licence: HI MD-16073) |
2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: NY 233360) | |
2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: CO 0066848) | |
Enumeration Date | 2006-07-21 |
Last Update Date | 2021-12-10 |