NPI | 1871851998 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: CA A129391) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA A129391) |
208M00000X Hospitalist (Licence: CA A129391) | |
Enumeration Date | 2012-04-26 |
Last Update Date | 2024-04-29 |