NPI | 1396953022 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: FL ME128736) |
Additional Taxonomies | 208000000X Pediatrics (Licence: HI 14276) |
2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: HI 14276) | |
208000000X Pediatrics (Licence: FL ME128736) | |
Enumeration Date | 2007-05-18 |
Last Update Date | 2017-02-22 |