| NPI | 1669468237 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 26211) |
| Additional Taxonomies | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: NC 26211) |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2013-02-18 |