NPI | 1689635450 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | |
Primary Taxonomy | 208000000X Pediatrics (Licence: NY 134132) |
Additional Taxonomies | 2083P0901X Preventive Medicine Public Health & General Preventive Medicine (Licence: NY 134132) |
Enumeration Date | 2006-03-31 |
Last Update Date | 2007-07-08 |