| NPI | 1669737953 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME 124313) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME124313) |
| Enumeration Date | 2012-07-12 |
| Last Update Date | 2023-03-07 |