NPI | 1831696012 |
---|---|
Former Name | STEFAN BREITLING GARLINGTON |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: MA 1022929) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MA 1022929) |
Enumeration Date | 2018-04-12 |
Last Update Date | 2025-07-16 |