NPI | 1437444585 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD452775) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IN 01070202A) |
Enumeration Date | 2011-06-16 |
Last Update Date | 2014-10-27 |