NPI | 1336551613 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: AL MD.36688) |
Additional Taxonomies | 208000000X Pediatrics (Licence: AL MD.36688) |
Enumeration Date | 2014-05-21 |
Last Update Date | 2019-09-20 |