NPI | 1306904545 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: NM 93-361) |
Additional Taxonomies | 2080P0208X Pediatrics Pediatric Infectious Diseases (Licence: NM 93-361) |
Enumeration Date | 2006-12-04 |
Last Update Date | 2007-07-08 |