NPI | 1457314213 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: VA 0101241839) |
Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101241839) |
Enumeration Date | 2006-04-11 |
Last Update Date | 2018-03-29 |