| NPI | 1952640641 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: MI 4301509871) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101256698) |
| Enumeration Date | 2013-01-31 |
| Last Update Date | 2025-12-11 |