| NPI | 1649453119 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: FL 168055) |
| Additional Taxonomies | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: MN 63541) |
| 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: GA 041752) | |
| Enumeration Date | 2007-12-07 |
| Last Update Date | 2024-06-11 |