NPI | 1740449396 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: NM MD2011-0534) |
Additional Taxonomies | 208000000X Pediatrics (Licence: ND 11251) |
Enumeration Date | 2008-06-07 |
Last Update Date | 2011-09-13 |