| NPI | 1013982438 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0102202040) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0116016982) |
| Enumeration Date | 2006-02-20 |
| Last Update Date | 2023-04-27 |