NPI | 1568693406 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: VA 0101251309) |
Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101251309) |
Enumeration Date | 2009-07-27 |
Last Update Date | 2019-01-28 |