NPI | 1306807250 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: WI 24639-20) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IA 32178) |
2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: IA 32178) | |
Enumeration Date | 2006-03-30 |
Last Update Date | 2014-06-06 |