| NPI | 1285719807 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: KS 04 22194) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KS 04-22194) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2024-03-07 |