NPI | 1942748413 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: CA A146425) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA 146425) |
Enumeration Date | 2017-02-06 |
Last Update Date | 2022-10-31 |