| NPI | 1447351531 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: KY 32895) |
| Additional Taxonomies | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: FL 162326) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2025-10-10 |