| NPI | 1568780153 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: TN 48992) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN 48992) |
| Enumeration Date | 2010-05-07 |
| Last Update Date | 2016-06-08 |