| NPI | 1619959582 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: NY 198429) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 198429) |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2012-09-18 |