NPI | 1477884922 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: CA 20A12208) |
Additional Taxonomies | 208000000X Pediatrics (Licence: AZ R1706) |
Enumeration Date | 2010-01-22 |
Last Update Date | 2020-06-30 |