| NPI | 1447562616 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: VA 0102203077) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0102203077) |
| Enumeration Date | 2010-07-05 |
| Last Update Date | 2018-07-27 |