NPI | 1013107614 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: LA MD.206784) |
Additional Taxonomies | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: LA MD.206784) |
Enumeration Date | 2007-07-30 |
Last Update Date | 2014-10-09 |