NPI | 1487734596 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: CA A100771) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NY 2371471) |
Enumeration Date | 2006-10-16 |
Last Update Date | 2009-07-21 |