| NPI | 1629081948 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: TX E5533) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX L5533) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: TX L5533) | |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2012-08-12 |