NPI | 1548766116 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD480019) |
Additional Taxonomies | 208000000X Pediatrics (Licence: DC MD049178) |
208000000X Pediatrics (Licence: MD D95565) | |
Enumeration Date | 2018-04-03 |
Last Update Date | 2023-03-09 |