| NPI | 1861783920 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: MN 69997) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CO DR.0050121) |
| 208000000X Pediatrics (Licence: MN 69997) | |
| 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: CO DR.0050121) | |
| Enumeration Date | 2011-04-25 |
| Last Update Date | 2024-01-16 |