NPI | 1477564763 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: MO R3B69) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MO R3B69) |
Enumeration Date | 2006-08-11 |
Last Update Date | 2007-07-12 |