| NPI | 1750010419 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME174109) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125.080632) |
| Enumeration Date | 2022-06-08 |
| Last Update Date | 2025-07-10 |