| NPI | 1720373699 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NE 27825) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NE 6547) |
| Enumeration Date | 2011-06-18 |
| Last Update Date | 2014-07-21 |