NPI | 1578546396 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: TX N3773) |
Additional Taxonomies | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: CT 033707) |
Enumeration Date | 2005-11-25 |
Last Update Date | 2017-10-03 |