NPI | 1720188188 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: MA 230072) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MD H0101126) |
Enumeration Date | 2006-09-25 |
Last Update Date | 2024-07-18 |