NPI | 1346284858 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2008015424) |
Additional Taxonomies | 208000000X Pediatrics (Licence: KS 04-43850) |
Enumeration Date | 2006-06-15 |
Last Update Date | 2023-05-31 |