NPI | 1558331389 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: IA DO03551) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IA 3551) |
Enumeration Date | 2006-01-24 |
Last Update Date | 2018-03-17 |