| NPI | 1467766311 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: AZ 55392) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 271601) |
| Enumeration Date | 2010-08-03 |
| Last Update Date | 2019-09-12 |