NPI | 1497799670 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: ID M-9122) |
Additional Taxonomies | 208000000X Pediatrics (Licence: ID M9122) |
Enumeration Date | 2006-06-16 |
Last Update Date | 2013-06-04 |