| NPI | 1932177839 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA 20A6702) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GU MTL-2017-069) |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2017-07-03 |