NPI | 1457451643 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: NH 15794) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MN 48909) |
Enumeration Date | 2006-09-25 |
Last Update Date | 2012-10-09 |