NPI | 1427243104 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: CA A80151) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NC 2007-01732) |
Enumeration Date | 2007-09-06 |
Last Update Date | 2024-01-25 |