| NPI | 1588866404 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: MI 4301083998) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301083998) |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2015-11-23 |