NPI | 1053603217 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2014-00878) |
Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: NC 2014-00878) |
Enumeration Date | 2011-05-06 |
Last Update Date | 2024-07-15 |