NPI | 1417960584 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: NM A-1837-14) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CT 000288) |
Enumeration Date | 2006-08-13 |
Last Update Date | 2015-03-27 |