| NPI | 1801382700 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: MO 2019029592) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2019029592) |
| Enumeration Date | 2018-07-03 |
| Last Update Date | 2025-08-21 |