NPI | 1699710905 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: FL me82787) |
Additional Taxonomies | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: FL me82787) |
Enumeration Date | 2006-06-19 |
Last Update Date | 2007-07-19 |