| NPI | 1427223429 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: SC 31824) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC 31824) |
| 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: NC 200401048) | |
| 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: SC 31824) | |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2024-08-20 |