NPI | 1871659128 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD419572) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MD P19112) |
2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: MD D0066020) | |
Enumeration Date | 2006-12-29 |
Last Update Date | 2007-07-08 |