| NPI | 1760596845 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A56273) |
| Additional Taxonomies | 208D00000X General Practice (Licence: CA A56273) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2013-07-18 |