NPI | 1346217668 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: PA OS012189) |
Additional Taxonomies | 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: PA OS012189) |
Enumeration Date | 2006-03-06 |
Last Update Date | 2020-08-20 |