| NPI | 1548310220 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: MD D63115) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: MD D63115) |
| 208000000X Pediatrics (Licence: MD 63115) | |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2018-03-09 |