NPI | 1760695050 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: VA 0101245443) |
Additional Taxonomies | 208000000X Pediatrics (Licence: DC MD035915) |
2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: MD D0064575) | |
Enumeration Date | 2007-05-07 |
Last Update Date | 2016-03-11 |