| NPI | 1114993227 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD041440L) |
| Additional Taxonomies | 2080C0008X Pediatrics, Child Abuse Pediatrics (Licence: PA MD041440L) |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2018-12-10 |