NPI | 1669494399 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: LA MD.012284) |
Additional Taxonomies | 208000000X Pediatrics (Licence: LA MD.012284) |
Enumeration Date | 2006-07-24 |
Last Update Date | 2013-02-27 |