NPI | 1548219504 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: DE C10008171) |
Additional Taxonomies | 2086S0120X Surgery, Pediatric Surgery (Licence: PA MD050152L) |
Enumeration Date | 2006-05-08 |
Last Update Date | 2013-01-16 |