| NPI | 1134305832 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD437661) |
| Additional Taxonomies | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: PA MD437661) |
| 208M00000X Hospitalist (Licence: PA MD437661) | |
| 208000000X Pediatrics (Licence: OH 35.086655) | |
| 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: OH 35.086655) | |
| Enumeration Date | 2008-01-14 |
| Last Update Date | 2009-07-23 |