NPI | 1245294271 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: WV 19640) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WV 19640) |
208000000X Pediatrics (Licence: WV 19640) | |
Enumeration Date | 2006-04-14 |
Last Update Date | 2021-11-30 |