| NPI | 1760460026 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: CA C175758) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA C175758) |
| 208000000X Pediatrics (Licence: IN 01055096A) | |
| Enumeration Date | 2006-01-06 |
| Last Update Date | 2021-12-17 |