NPI | 1750353116 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: NE NV9118) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NV 9118) |
Enumeration Date | 2006-02-01 |
Last Update Date | 2023-04-10 |