| NPI | 1184723132 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: NY 133112) |
| Additional Taxonomies | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: NY 133112) |
| 2080P0210X Pediatrics, Pediatric Nephrology (Licence: NY 133112) | |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2012-09-10 |