NPI | 1225062516 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: OK 23479) |
Additional Taxonomies | 208000000X Pediatrics (Licence: TN 41127) |
208000000X Pediatrics (Licence: IL 036.119839) | |
Enumeration Date | 2006-07-10 |
Last Update Date | 2024-10-23 |