| NPI | 1801007000 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AZ 52439) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME98691) |
| Enumeration Date | 2007-05-27 |
| Last Update Date | 2016-09-14 |