NPI | 1699710178 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: PA MD067897L) |
Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD067897L) |
Enumeration Date | 2006-06-18 |
Last Update Date | 2015-04-20 |