| NPI | 1720252950 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: PA MD452714) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD452714) |
| Enumeration Date | 2008-04-18 |
| Last Update Date | 2018-11-26 |