| NPI | 1568955664 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MT215614) |
| Additional Taxonomies | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: PA MT215614) |
| Enumeration Date | 2018-06-13 |
| Last Update Date | 2021-06-22 |