NPI | 1780627323 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: OH 35088753) |
Additional Taxonomies | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: MD D45850) |
Enumeration Date | 2006-06-13 |
Last Update Date | 2021-11-11 |