NPI | 1932175015 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME137399) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CT 039780) |
Enumeration Date | 2006-02-27 |
Last Update Date | 2024-03-10 |