NPI | 1669752705 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: RI MD14989) |
Additional Taxonomies | 208000000X Pediatrics (Licence: RI MD14989) |
Enumeration Date | 2011-08-21 |
Last Update Date | 2016-03-16 |