| NPI | 1427389808 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CT 028608) |
| Additional Taxonomies | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: CT 028608) |
| 208U00000X Clinical Pharmacology (Licence: CT 028608) | |
| Enumeration Date | 2010-01-25 |
| Last Update Date | 2010-01-25 |