NPI | 1417973942 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: CA G35698) |
Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: CA G35698) |
Enumeration Date | 2006-07-15 |
Last Update Date | 2007-10-10 |