| NPI | 1356340426 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: MI 4301111533) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301111533) |
| 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: OH 35081457) | |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2020-12-28 |