| NPI | 1710092077 |
|---|---|
| Professional Name | WALTER GRANT |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MS 14991) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AL 29157) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2018-04-06 |