| NPI | 1518126622 |
|---|---|
| Former Name | LARRY R MEYER |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: SD 9094) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IA R-8385) |
| 208000000X Pediatrics (Licence: SD 9094) | |
| Enumeration Date | 2008-06-04 |
| Last Update Date | 2014-07-27 |