| NPI | 1598915035 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: OH 35.123057) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301092577) |
| Enumeration Date | 2008-09-20 |
| Last Update Date | 2014-05-23 |