NPI | 1669582565 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: AK 4196) |
Additional Taxonomies | 208000000X Pediatrics (Licence: AK 01/15/1962) |
Enumeration Date | 2006-08-30 |
Last Update Date | 2017-01-09 |