| NPI | 1407815111 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: TX H1047) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: TX H1047) |
| 208000000X Pediatrics (Licence: TX H1047) | |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2021-12-03 |