| NPI | 1659562437 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CO DR.0050444) |
| Additional Taxonomies | 2080C0008X Pediatrics, Child Abuse Pediatrics (Licence: CO DR.0050444) |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2025-10-29 |