NPI | 1194778191 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: SD 4206) |
Additional Taxonomies | 208000000X Pediatrics (Licence: SD 4206) |
Enumeration Date | 2006-05-19 |
Last Update Date | 2018-03-15 |