NPI | 1164691937 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: SC MD35496) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MO AS3835571-2007017363) |
Enumeration Date | 2008-02-26 |
Last Update Date | 2013-07-07 |