NPI | 1417246216 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: DE C10010851) |
Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: DE C10010851) |
Enumeration Date | 2011-04-01 |
Last Update Date | 2016-02-05 |