| NPI | 1396829263 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: PA MD034629E) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 2005-00878) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2013-07-09 |