NPI | 1114423092 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: WI 82854-20) |
Additional Taxonomies | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: WI 82854-20) |
Enumeration Date | 2018-04-01 |
Last Update Date | 2024-07-09 |