| NPI | 1124000518 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 216716) |
| Additional Taxonomies | 2080P0208X Pediatrics Pediatric Infectious Diseases (Licence: NY 216716) |
| Enumeration Date | 2005-11-19 |
| Last Update Date | 2012-09-21 |