| NPI | 1104863976 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: NJ 25MA06838700) |
| Additional Taxonomies | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: NY 227589) |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2017-05-11 |