| NPI | 1841244399 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MD D0105065) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: RI 11938) |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2025-12-22 |