| NPI | 1750478889 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: NC 2007-00114) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: TN MD31615) |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2012-01-18 |