| NPI | 1790130441 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: CA 20A15423) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA 20A15423) |
| Enumeration Date | 2016-05-02 |
| Last Update Date | 2024-04-26 |