NPI | 1750436853 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: DC 10770) |
Additional Taxonomies | 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: DC 10770) |
Enumeration Date | 2007-01-25 |
Last Update Date | 2007-07-08 |