| NPI | 1730443441 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0208X Pediatrics Pediatric Infectious Diseases (Licence: NC 2015-01261) |
| Additional Taxonomies | 174400000X Specialist (Licence: NC 2015-01261) |
| 208000000X Pediatrics (Licence: NC 2015-01261) | |
| Enumeration Date | 2012-06-27 |
| Last Update Date | 2023-05-31 |