NPI | 1255416780 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: DC MD034768) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MD D63482) |
Enumeration Date | 2006-10-25 |
Last Update Date | 2007-07-08 |