| NPI | 1639436645 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: TN 70753) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX N7795) |
| Enumeration Date | 2012-04-15 |
| Last Update Date | 2024-05-22 |