| NPI | 1730507823 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: MA 274684) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 274684) |
| Enumeration Date | 2014-04-04 |
| Last Update Date | 2018-07-30 |