| NPI | 1134357775 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: NY 253588)  | 
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 253588)  | 
| 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: IL 036128197)  | |
| Enumeration Date | 2009-06-22 | 
| Last Update Date | 2023-02-20 |