| NPI | 1891777223 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: MA 36674) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 36674) |
| Enumeration Date | 2005-11-21 |
| Last Update Date | 2014-07-09 |