| NPI | 1598151946 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: PA MD463816) |
| Additional Taxonomies | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: CA A172337) |
| Enumeration Date | 2015-04-13 |
| Last Update Date | 2022-11-10 |