| NPI | 1851782502 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: VA 0102204610) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0102204610) |
| Enumeration Date | 2015-02-16 |
| Last Update Date | 2023-08-08 |