| NPI | 1932172327 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WI 42990) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 42990) |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2024-12-30 |