| NPI | 1538271606 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A64300) |
| Additional Taxonomies | 2080C0008X Pediatrics, Child Abuse Pediatrics (Licence: CA A64300) |
| 2080C0008X Pediatrics, Child Abuse Pediatrics | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2024-04-10 |