| NPI | 1871673111 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: LA MD023912) |
| Additional Taxonomies | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: TX L6693) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2007-09-28 |