| NPI | 1407038524 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: MD D0065617) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0065617) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: MD D0065617) | |
| 208000000X Pediatrics (Licence: MD D0065617) | |
| Enumeration Date | 2007-11-30 |
| Last Update Date | 2007-11-30 |