| NPI | 1417050840 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: VA 0101030732) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101030732) |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2011-11-08 |