| NPI | 1417986258 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: MO R5901) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO R5901) |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2024-04-25 |