NPI | 1770656407 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: CA A85595) |
Additional Taxonomies | 208000000X Pediatrics (Licence: WA 37035) |
Enumeration Date | 2006-11-17 |
Last Update Date | 2007-07-08 |