NPI | 1750359063 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: FL ME40505) |
Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME40505) |
Enumeration Date | 2006-03-11 |
Last Update Date | 2009-08-17 |