| NPI | 1780747550 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: NC 2001-00833) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 2001-00833) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2019-09-09 |