NPI | 1861554461 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: MD D0050386) |
Additional Taxonomies | 208000000X Pediatrics (Licence: DC MD30819) |
Enumeration Date | 2006-12-14 |
Last Update Date | 2022-01-24 |