NPI | 1265681258 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0203X Pediatrics Pediatric Critical Care Medicine (Licence: NV 12878) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NV 12879) |
Enumeration Date | 2008-09-15 |
Last Update Date | 2008-09-15 |