| NPI | 1871659128 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: MD D0066020) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD419572) |
| 208000000X Pediatrics (Licence: MD P19112) | |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2025-09-11 |