NPI | 1386667319 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: PA MD419002) |
Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD419002) |
Enumeration Date | 2006-07-25 |
Last Update Date | 2013-04-19 |