NPI | 1396953402 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: DE C1-0010906) |
Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: TX N3998) |
208000000X Pediatrics (Licence: NM MD2011-0124) | |
208000000X Pediatrics (Licence: AZ 47431) | |
208M00000X Hospitalist (Licence: DE C1-0010906) | |
Enumeration Date | 2007-05-21 |
Last Update Date | 2014-06-17 |