| NPI | 1679536544 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: OR MD218587) |
| Additional Taxonomies | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: LA 022009) |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2023-12-13 |