| NPI | 1740473289 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: SC 87514) |
| Additional Taxonomies | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: GA 069980) |
| Enumeration Date | 2007-08-18 |
| Last Update Date | 2022-08-04 |