NPI | 1669556643 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: ID M11639) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA G84579) |
Enumeration Date | 2006-10-25 |
Last Update Date | 2012-12-29 |