NPI | 1255445516 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: NH 7874) |
Additional Taxonomies | 2080H0002X Pediatrics, Hospice and Palliative Medicine (Licence: NH 7874) |
Enumeration Date | 2006-08-17 |
Last Update Date | 2022-11-14 |