| NPI | 1346284858 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2008015424) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KS 04-43850) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2023-05-31 |