NPI | 1396061313 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: SC 39372) |
Additional Taxonomies | 208000000X Pediatrics (Licence: FL OS12250) |
Enumeration Date | 2010-04-15 |
Last Update Date | 2017-04-14 |