| NPI | 1942827399 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2020016989) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KS 0453222) |
| Enumeration Date | 2020-07-01 |
| Last Update Date | 2026-07-18 |