NPI | 1952394298 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: GA 031690) |
Additional Taxonomies | 2080P0208X Pediatrics Pediatric Infectious Diseases (Licence: GA 031690) |
Enumeration Date | 2005-08-23 |
Last Update Date | 2022-04-20 |