NPI | 1568745180 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: MI EMC0003589) |
Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: MI EMC0003589) |
208000000X Pediatrics (Licence: NM MD2012-0182) | |
Enumeration Date | 2011-09-20 |
Last Update Date | 2025-09-26 |