| NPI | 1871687590 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 277439) |
| Additional Taxonomies | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: ID 1971464) |
| 208000000X Pediatrics (Licence: CA A86834) | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2025-09-11 |