| NPI | 1912389271 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0208X Pediatrics Pediatric Infectious Diseases (Licence: MO 2018005675) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2018005675) |
| Enumeration Date | 2015-06-23 |
| Last Update Date | 2025-04-17 |