| NPI | 1285661868 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 163299) |
| Additional Taxonomies | 2080C0008X Pediatrics, Child Abuse Pediatrics (Licence: NY 163299) |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2025-01-18 |