| NPI | 1356992630 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: MO 2020038003) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2020038003) |
| 208000000X Pediatrics (Licence: CT 57271) | |
| 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: CT 57271) | |
| Enumeration Date | 2019-09-27 |
| Last Update Date | 2021-03-25 |