| NPI | 1740296912 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: MI 4301076175) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301076175) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2019-11-11 |