| NPI | 1609800184 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD038603E) |
| Additional Taxonomies | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: PA MD038603E) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2014-03-26 |