| NPI | 1710064001 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 197201) |
| Additional Taxonomies | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: NY 197201) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2014-04-16 |