| NPI | 1639232416 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: AR E-14979) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 2001-00960) |
| 208000000X Pediatrics (Licence: AR E-14979) | |
| 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: NC 2001-00960) | |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2023-03-23 |