| NPI | 1427223874 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: MO 2009001452)  | 
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2009001452)  | 
| Enumeration Date | 2008-04-28 | 
| Last Update Date | 2021-01-18 |