NPI | 1679515324 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: CA A52713) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA A52713) |
Enumeration Date | 2006-06-10 |
Last Update Date | 2021-12-02 |