| 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 |