NPI | 1922033992 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: CA 136808) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MA 227803) |
Enumeration Date | 2006-07-11 |
Last Update Date | 2015-08-06 |