| NPI | 1356692339 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: ND 12926) |
| Additional Taxonomies | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: ND 12926) |
| Enumeration Date | 2012-10-01 |
| Last Update Date | 2020-06-18 |