NPI | 1659715274 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: TX Q9321) |
Additional Taxonomies | 208000000X Pediatrics (Licence: TX Q9321) |
Enumeration Date | 2013-04-25 |
Last Update Date | 2024-03-01 |