| NPI | 1326118134 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX m2074) |
| Additional Taxonomies | 2080C0008X Pediatrics, Child Abuse Pediatrics (Licence: TX m2074) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2010-03-11 |