| NPI | 1730578287 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1744R1102X Specialist, Research Study (Licence: PA MD071466L) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD017466L) |
| Enumeration Date | 2015-01-21 |
| Last Update Date | 2024-03-20 |