NPI | 1497313043 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101278185) |
Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: VA 0101278185) |
Enumeration Date | 2019-05-30 |
Last Update Date | 2024-12-09 |