NPI | 1922180421 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: NY 237446) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NY 237446) |
Enumeration Date | 2006-10-20 |
Last Update Date | 2024-05-09 |