| NPI | 1841431640 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: DC MD041643) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD D746406) |
| Enumeration Date | 2009-03-09 |
| Last Update Date | 2013-09-05 |