NPI | 1144291014 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: SC 10091) |
Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: ND 10782) |
208000000X Pediatrics (Licence: ND 10782) | |
Enumeration Date | 2006-01-30 |
Last Update Date | 2021-05-24 |