| NPI | 1417047036 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0208X Pediatrics Pediatric Infectious Diseases (Licence: UT 180179-1205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: UT 1801791205) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2023-09-20 |