| NPI | 1497840250 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IA MD-38245) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IA R-7834) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2025-05-09 |