| NPI | 1710780598 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2025019979) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2025019979) |
| Enumeration Date | 2025-03-28 |
| Last Update Date | 2025-06-19 |