NPI | 1306888268 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: MD D0063757) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MD D0063757) |
Enumeration Date | 2006-06-12 |
Last Update Date | 2007-10-18 |