NPI | 1598970436 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: NY 237236) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NY 237236) |
Enumeration Date | 2007-05-14 |
Last Update Date | 2010-06-17 |