NPI | 1497999056 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: CA A068368) |
Additional Taxonomies | 208000000X Pediatrics (Licence: TX J8810) |
Enumeration Date | 2009-04-27 |
Last Update Date | 2012-06-20 |