| NPI | 1952379281 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: OK 12386) |
| Additional Taxonomies | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: OK 12386) |
| Enumeration Date | 2006-03-11 |
| Last Update Date | 2011-01-14 |