NPI | 1689627754 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: KS 04-23560) |
Additional Taxonomies | 2080P0008X Pediatrics, Neurodevelopmental Disabilities (Licence: KS 04-23560) |
Enumeration Date | 2006-05-18 |
Last Update Date | 2023-11-01 |