NPI | 1255311478 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: PA MD445672) |
Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD445672) |
Enumeration Date | 2006-01-23 |
Last Update Date | 2023-05-24 |