| NPI | 1477667806 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: SD 8906) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NE 20333) |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2014-04-17 |