| NPI | 1205803624 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: NJ 25MA07008600) |
| Additional Taxonomies | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: CA G081131) |
| Enumeration Date | 2006-03-03 |
| Last Update Date | 2017-05-05 |