NPI | 1558528042 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: AZ 16602) |
Additional Taxonomies | 208000000X Pediatrics (Licence: AZ AZ16602) |
Enumeration Date | 2008-05-21 |
Last Update Date | 2014-11-21 |