| NPI | 1922100858 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: MO 2008019344) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2008019344) |
| 208000000X Pediatrics (Licence: MO 2008019344) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: MO 2008019344) | |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2013-07-29 |