NPI | 1750406930 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: DE C1-0012388) |
Additional Taxonomies | 208000000X Pediatrics (Licence: DE C1-0012388) |
2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: PA MD445122) | |
Enumeration Date | 2007-03-20 |
Last Update Date | 2021-02-09 |