| NPI | 1437444585 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD452775) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IN 01070202A) |
| Enumeration Date | 2011-06-16 |
| Last Update Date | 2014-10-27 |