| NPI | 1720062268 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0208X Pediatrics Pediatric Infectious Diseases (Licence: KY 26520) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KY 26520) |
| Enumeration Date | 2005-11-29 |
| Last Update Date | 2024-03-26 |