| NPI | 1518266071 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: WA MD 60476260) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA ML60224527) |
| Enumeration Date | 2011-03-23 |
| Last Update Date | 2014-06-27 |