| NPI | 1922059948 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX Q0344) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101239432) |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2024-06-14 |