NPI | 1659427813 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: MD D68668) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MD P21308) |
Enumeration Date | 2007-01-28 |
Last Update Date | 2009-11-02 |