NPI | 1114103199 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: PA MD433789) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA A98759) |
208000000X Pediatrics (Licence: PA MD433789) | |
Enumeration Date | 2008-01-21 |
Last Update Date | 2016-05-17 |