NPI | 1073584231 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: FL ME120573) |
Additional Taxonomies | 208000000X Pediatrics (Licence: LA MD.024437) |
Enumeration Date | 2006-01-27 |
Last Update Date | 2022-07-21 |