| NPI | 1467409458 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AR E-18440) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 032752) |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2024-10-14 |