| NPI | 1083021802 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: NY 289909-1) |
| Additional Taxonomies | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: NY 289909) |
| Enumeration Date | 2014-07-14 |
| Last Update Date | 2020-10-27 |