| NPI | 1598793101 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 313096) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CT 61686) |
| 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: NY 313096) | |
| 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: CT 61686) | |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2022-11-15 |