| NPI | 1821352451 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: PA MD459107) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD459107) |
| 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: PA MD459107) | |
| Enumeration Date | 2012-06-28 |
| Last Update Date | 2022-07-05 |