| NPI | 1952344384 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080C0008X Pediatrics, Child Abuse Pediatrics (Licence: MA 238099) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD D0059645) |
| 208000000X Pediatrics (Licence: NY 169534-1) | |
| 208000000X Pediatrics (Licence: VA 0101241902) | |
| 208000000X Pediatrics (Licence: MA 238099) | |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2019-04-09 |