NPI | 1427463421 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: OH 35.139671) |
Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.139671) |
Enumeration Date | 2014-06-27 |
Last Update Date | 2021-07-29 |