| NPI | 1417377334 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AR E-14710) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AR E-14710) |
| Enumeration Date | 2014-04-17 |
| Last Update Date | 2023-05-16 |