| NPI | 1245269778 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IN 01069630A) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036-099663) |
| 208000000X Pediatrics (Licence: MI 4301076217) | |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2024-02-21 |