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 |