NPI | 1033346390 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: NC 2015-00666) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NC 201500666) |
Enumeration Date | 2009-06-15 |
Last Update Date | 2024-02-12 |