| 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 |