| NPI | 1861459463 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL OS4802) |
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: FL OS4802) |
| 208D00000X General Practice (Licence: FL OS4802) | |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2013-06-04 |