| NPI | 1922449636 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0208X Pediatrics Pediatric Infectious Diseases (Licence: CA A136576) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A136576) |
| 208000000X Pediatrics (Licence: FL TRN 17781) | |
| Enumeration Date | 2013-07-10 |
| Last Update Date | 2024-04-12 |