| NPI | 1699722819 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: NY 156788) |
| Additional Taxonomies | 174400000X Specialist (Licence: NV 15067) |
| 208000000X Pediatrics (Licence: NY 156788) | |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2019-02-06 |