| NPI | 1366604878 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: VA 0101247229) |
| Additional Taxonomies | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: MN 56374) |
| 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: ND 12553) | |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2021-11-20 |