| NPI | 1437214368 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: NY 225510) |
| Additional Taxonomies | 146D00000X Personal Emergency Response Attendant (Licence: NY 225510) |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2012-03-05 |