NPI | 1669406468 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: CA G22043) |
Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: CA g22043) |
Enumeration Date | 2006-07-10 |
Last Update Date | 2008-03-19 |