NPI | 1376559484 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: TX P8536) |
Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD062446L) |
2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: PA MD062446L) | |
Enumeration Date | 2006-07-31 |
Last Update Date | 2014-01-02 |