| 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 |