NPI | 1083707251 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: CA A80706) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA A80706) |
Enumeration Date | 2006-10-02 |
Last Update Date | 2012-11-19 |