| NPI | 1457309171 |
|---|---|
| Professional Name | VICTOR H MICKUNAS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101044606) |
| Additional Taxonomies | 174400000X Specialist (Licence: VA 0101044606) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2024-09-16 |