| NPI | 1891701066 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080H0002X Pediatrics, Hospice and Palliative Medicine (Licence: MA 271188) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 271188) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2018-03-17 |