| NPI | 1366479560 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: MN 47286) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MN 47286) |
| 208M00000X Hospitalist (Licence: MN 47286) | |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2011-07-11 |