NPI | 1063738631 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: NM MD2013-0296) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IN 1063738631) |
Enumeration Date | 2010-04-07 |
Last Update Date | 2023-08-11 |