NPI | 1114975208 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: NC 9700255) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NC 9700255) |
Enumeration Date | 2006-05-04 |
Last Update Date | 2008-10-17 |