NPI | 1720255649 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101249131) |
Additional Taxonomies | 208000000X Pediatrics (Licence: DC MD041350) |
Enumeration Date | 2008-05-09 |
Last Update Date | 2021-03-21 |