| NPI | 1346345394 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME98233) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 213700) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2018-12-11 |