NPI | 1972796225 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: DE C1-0008424) |
Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD446913) |
Enumeration Date | 2007-08-21 |
Last Update Date | 2014-08-17 |