NPI | 1417987033 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: CA A63043) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA A63043) |
Enumeration Date | 2006-07-03 |
Last Update Date | 2023-03-07 |