NPI | 1669409223 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: WA MD60211161) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA A66414) |
2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: OR 160149) | |
2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: CA A66414) | |
2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: CA A66414) | |
Enumeration Date | 2006-06-27 |
Last Update Date | 2021-12-03 |