| NPI | 1447780325 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD481832) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125-070691) |
| 208000000X Pediatrics (Licence: IL 036.155718) | |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2024-01-25 |