NPI | 1649244724 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2021-00647) |
Additional Taxonomies | 208000000X Pediatrics (Licence: TN 28673) |
Enumeration Date | 2006-02-15 |
Last Update Date | 2021-03-08 |