NPI | 1598793101 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: NY 313096) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CT 61686) |
2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: NY 313096) | |
2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: CT 61686) | |
Enumeration Date | 2006-06-30 |
Last Update Date | 2022-11-15 |