NPI | 1407118573 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: TX R9846) |
Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101257601) |
Enumeration Date | 2012-06-13 |
Last Update Date | 2021-04-06 |