NPI | 1093911661 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: CA A104933) |
Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD431475) |
Enumeration Date | 2007-06-21 |
Last Update Date | 2015-06-25 |