NPI | 1194898577 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: MD D0057925) |
Additional Taxonomies | 208000000X Pediatrics (Licence: DC MD32886) |
Enumeration Date | 2006-11-16 |
Last Update Date | 2011-01-26 |