NPI | 1780694398 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: MI 4301081328) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301081328) |
Enumeration Date | 2006-08-08 |
Last Update Date | 2020-01-10 |