| NPI | 1023303708 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: ME MD25219) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 276404) |
| Enumeration Date | 2011-06-10 |
| Last Update Date | 2023-11-14 |