| NPI | 1861620429 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: MD d75087) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD D75087) |
| 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: MD d75087) | |
| Enumeration Date | 2009-06-22 |
| Last Update Date | 2020-02-27 |