| NPI | 1487845418 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080H0002X Pediatrics Hospice and Palliative Medicine (Licence: CO DR.0068681) |
| Additional Taxonomies | 2080H0002X Pediatrics Hospice and Palliative Medicine (Licence: IN 01073304) |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2022-09-21 |