NPI | 1376670141 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: CA A96651) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA A96651) |
208M00000X Hospitalist (Licence: CA A96651) | |
Enumeration Date | 2007-02-27 |
Last Update Date | 2025-02-28 |