NPI | 1003847203 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: TX H1147) |
Additional Taxonomies | 174400000X Specialist (Licence: TX H1147) |
Enumeration Date | 2006-07-05 |
Last Update Date | 2013-08-07 |