| NPI | 1518049022 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: CT 64058) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 48988) |
| 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: WI 67425) | |
| 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: MA 48988) | |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2022-04-14 |