| NPI | 1538220678 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0208X Pediatrics Pediatric Infectious Diseases (Licence: TX S7213) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX S7213) |
| 208000000X Pediatrics (Licence: NY 177223-1) | |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2020-07-02 |