| NPI | 1578617825 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MD D0067501) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD P20038) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2018-12-26 |