NPI | 1023435153 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: CA A140354) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA A140354) |
Enumeration Date | 2014-03-26 |
Last Update Date | 2024-01-12 |