NPI | 1477780864 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: CA A117003) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA A117003) |
Enumeration Date | 2009-06-12 |
Last Update Date | 2017-09-08 |