NPI | 1750588653 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: MA 264954) |
Additional Taxonomies | 208000000X Pediatrics (Licence: DC MD040645) |
2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: DC MD040645) | |
Enumeration Date | 2007-07-03 |
Last Update Date | 2015-10-26 |