NPI | 1487036851 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: WI 6477-851) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125067574) |
Enumeration Date | 2015-06-22 |
Last Update Date | 2022-07-26 |