NPI | 1922065267 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: DE C1-0012430) |
Additional Taxonomies | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: NE 22177) |
Enumeration Date | 2006-04-28 |
Last Update Date | 2018-03-17 |