NPI | 1093716482 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2009-00440) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NY 225335) |
Enumeration Date | 2005-08-09 |
Last Update Date | 2013-03-11 |