| NPI | 1952495806 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0208X Pediatrics Pediatric Infectious Diseases (Licence: VA 0101237674) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101237674) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2023-02-22 |