NPI | 1477522373 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: AZ 29525) |
Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD 034462E) |
Enumeration Date | 2006-03-14 |
Last Update Date | 2025-05-02 |