| NPI | 1407810344 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX D9864) |
| Additional Taxonomies | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: TX D9864) |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2012-02-16 |