NPI | 1548467426 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: MN 51335) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MN 51335) |
Enumeration Date | 2007-07-02 |
Last Update Date | 2020-08-13 |