| NPI | 1588634398 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: CA 20A19875) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: HI DOS-708) |
| 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: FL OS14933) | |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2022-08-17 |