| NPI | 1518121805 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: WA MD60217248) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD60217248) |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2015-03-18 |