| NPI | 1568476430 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: PA MD021257E) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD021257E) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2015-03-06 |