| NPI | 1386634756 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: CT 70212) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 216301) |
| 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: RI MD13482) | |
| Enumeration Date | 2005-10-26 |
| Last Update Date | 2025-05-07 |