NPI | 1417085325 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: NC 2007-00664) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NC 2007-00664) |
Enumeration Date | 2007-03-01 |
Last Update Date | 2024-07-15 |