| NPI | 1962633859 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: GA 87080) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125.052588) |
| 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: MI 4301097552) | |
| 208000000X Pediatrics (Licence: GA 87080) | |
| 208000000X Pediatrics (Licence: OR MD167353) | |
| Enumeration Date | 2009-07-27 |
| Last Update Date | 2020-12-18 |