| NPI | 1437291069 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NV 12828) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA G87348) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2009-05-15 |