| NPI | 1942418553 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101236523) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: VA 0101236523) |
| 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: VA 0101236523) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0101236523) | |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2022-04-01 |