NPI | 1013008036 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: NC 14494) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NC 14494) |
Enumeration Date | 2006-09-27 |
Last Update Date | 2013-07-12 |