NPI | 1487810958 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD442305) |
Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT192568) |
Enumeration Date | 2008-08-04 |
Last Update Date | 2013-05-22 |