NPI | 1275576266 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: MA 81647) |
Additional Taxonomies | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: MA 81647) |
2083T0002X Preventive Medicine, Medical Toxicology (Licence: MA 81647) | |
Enumeration Date | 2006-06-14 |
Last Update Date | 2007-08-14 |