| NPI | 1700114378 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MD H0082753) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0102202786) |
| Enumeration Date | 2009-11-19 |
| Last Update Date | 2021-07-30 |