NPI | 1306088976 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: TX P3590) |
Additional Taxonomies | 208000000X Pediatrics (Licence: TX P3590) |
Enumeration Date | 2009-03-29 |
Last Update Date | 2015-07-02 |