| NPI | 1528039641 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: FL ME97143) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME97143) |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2011-05-18 |