| NPI | 1568923126 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: MA 291969) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 291969) |
| Enumeration Date | 2019-03-27 |
| Last Update Date | 2025-07-09 |