NPI | 1457399727 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: MA 224293) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MA 224293) |
Enumeration Date | 2006-06-02 |
Last Update Date | 2024-07-01 |