| NPI | 1578884961 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: MO 2013018935) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2013018935) |
| Enumeration Date | 2010-06-20 |
| Last Update Date | 2024-04-25 |