| NPI | 1588907398 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: OR MD200466) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OR MD200466) |
| Enumeration Date | 2013-03-29 |
| Last Update Date | 2020-08-06 |