| NPI | 1780021881 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD457611) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT204526) |
| 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: PA MT204526) | |
| Enumeration Date | 2013-05-29 |
| Last Update Date | 2019-07-10 |