NPI | 1871631069 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: CA G031517) |
Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: CA G031517) |
2080P0205X Pediatrics, Pediatric Endocrinology (Licence: CA G031517) | |
Enumeration Date | 2007-02-01 |
Last Update Date | 2007-07-08 |