NPI | 1689973471 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: OH 35-120746) |
Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35-120746) |
Enumeration Date | 2011-03-20 |
Last Update Date | 2023-06-09 |