NPI | 1982854840 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: MI L2357554) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MA 234056) |
Enumeration Date | 2008-09-26 |
Last Update Date | 2015-05-01 |