NPI | 1902986755 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: MI 4301054709) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301054709) |
Enumeration Date | 2006-10-16 |
Last Update Date | 2019-11-19 |