NPI | 1326063587 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: MD D0059573) |
Additional Taxonomies | 208000000X Pediatrics (Licence: DC MD32764) |
Enumeration Date | 2006-07-12 |
Last Update Date | 2007-07-09 |