| NPI | 1639448947 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: WA MD60657190) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA ML60368564) |
| Enumeration Date | 2011-12-16 |
| Last Update Date | 2019-06-17 |