NPI | 1275516544 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: RI MD8966) |
Additional Taxonomies | 208000000X Pediatrics (Licence: RI MD8966) |
Enumeration Date | 2005-11-21 |
Last Update Date | 2008-05-22 |