| NPI | 1760473383 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NM MD2022-1390) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX J2653) |
| 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: TX J2653) | |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2023-08-07 |