NPI | 1558371864 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: FL ME 22891) |
Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME 22891) |
Enumeration Date | 2006-08-09 |
Last Update Date | 2008-03-25 |