| NPI | 1881097947 |
|---|---|
| Former Name | LOUIS MARIE VIOLLET |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: UT 10118502-1205) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2014-10-03 |
| Last Update Date | 2018-04-27 |