NPI | 1922002468 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: CA G077876) |
Additional Taxonomies | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: CA G077876) |
Enumeration Date | 2005-06-13 |
Last Update Date | 2007-07-08 |