| NPI | 1427089374 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: ME DO2777) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IN 02002721A) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2018-05-23 |