NPI | 1659465383 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: NY 248876) |
Additional Taxonomies | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: DC MD31631) |
2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: FL ME85719) | |
Enumeration Date | 2006-10-03 |
Last Update Date | 2023-03-07 |