| NPI | 1558528448 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: DE C1-0012512)  | 
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 062285)  | 
| 208000000X Pediatrics (Licence: GA 62285)  | |
| 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: GA 62285)  | |
| Enumeration Date | 2008-05-19 | 
| Last Update Date | 2024-10-10 |