| NPI | 1598981698 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: AZ 36477) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A85893) |
| 208000000X Pediatrics (Licence: AZ 36477) | |
| 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: CA A85893) | |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2019-07-31 |