| NPI | 1720160443 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: LA 201146) |
| Additional Taxonomies | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: LA 201146) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2016-09-13 |