| NPI | 1427250661 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: GA 068097) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: GA 068097) |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2012-07-02 |