| NPI | 1144268863 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD469282) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OK 38125) |
| 208000000X Pediatrics (Licence: MD D95231) | |
| 208000000X Pediatrics (Licence: TX T0257) | |
| 208000000X Pediatrics (Licence: NY 258789) | |
| 208000000X Pediatrics (Licence: MN 68680) | |
| 208000000X Pediatrics (Licence: FL ME147496) | |
| 208000000X Pediatrics (Licence: MO 2021014516) | |
| 208000000X Pediatrics (Licence: NV 20680) | |
| 208000000X Pediatrics (Licence: CO DR.0065494) | |
| 208000000X Pediatrics (Licence: GA 88333) | |
| 208000000X Pediatrics (Licence: IL 036154818) | |
| 208000000X Pediatrics (Licence: FL ME95394) | |
| 208000000X Pediatrics (Licence: MA 286231) | |
| 208000000X Pediatrics (Licence: CA C170906) | |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2022-11-04 |