NPI | 1902151152 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2014-00107) |
Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: NC 2014-00107) |
Enumeration Date | 2012-07-13 |
Last Update Date | 2023-07-22 |