NPI | 1467537548 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: PA MD032476E) |
Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME127936) |
2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: FL ME127936) | |
Enumeration Date | 2006-10-26 |
Last Update Date | 2017-10-06 |